Belinda Rivera
Montgomery,IL
Summary
. Excellent communication and collaboration skills. Enthusiastic Patient Care Coordinator motivated to work with patients, families and care teams efficiently. Friendly, adaptable and collaborative professional successful devising satisfying solutions to complex problems.
Overview
16
16
years of professional experience
Work History
Patient Care Coordinator
UnitedHealth Group-HPS
07.2021 - Current
- Maintain confidentiality and adhere to HIPAA requirements
- Meets key performance goals established including quality and attendance
- Answers inbound calls from patients regarding referral status
- Obtain prior authorization specialist appointments cardiac and diagnostic imaging
- Process prior authorization through electronic health record or via phone/fax
- Process medical records to insurance carriers to expediate authorization process
- Prioritize incoming authorizations by level of urgency.
Team Associate
Transitions Hospice
07.2020 - 07.2021
- Maintaining daily patient census
- Being a liaison between staff, facilities, and home office
- Scheduling appointments for clinical staff and hospice patients
- Assisting management in day-to-day coordination
- Assuring compliance with Medicare regulations
Patient Service Representative/ Administrative Assistant
Marianjoy Medical Group
06.2016 - 08.2019
- Greeting patients, check in and out from appointments
- Verifying insurance, scheduling procedures and appointments for doctors, nurse practitioners, and apns
- Answering telephone calls and returning messages
- Maintaining schedules for physicians
- Verifying all materials for accuracy, scanning and faxing reports to other provider offices, uses excel and other software
- Used organizational skills on daily basis and communicated with all staff.
CNA Assistant Case Manager
VNA Healthcare
01.2008 - 05.2017
- Case Manages all abnormal and normal Pap smear and mammograms from start to finish
- Scheduling and further appointments needed
- Case manages all normal and abnormal results for multiple clinics Documenting and using state sites to manage all abnormal results
- Working together with nursing staff, doctors, and patient to help patient.
Education
Bachelors in business administration specializing in Healthcare. -
Capella University
12.2025
Associates in medical assisting -
Rasmussen College-Aurora
12.2015
Skills
Experience in prior authorizations
Epic
Medical Records
Microsoft Word
Customer Service
Insurance Verification
Spanish
Medical Terminology
Patient Care Coordination
HIPAA Compliance
Organizational Skills
Proficient in MS office
Timeline
Patient Care Coordinator
UnitedHealth Group-HPS
07.2021 - Current
Team Associate
Transitions Hospice
07.2020 - 07.2021
Patient Service Representative/ Administrative Assistant
Marianjoy Medical Group
06.2016 - 08.2019
CNA Assistant Case Manager
VNA Healthcare
01.2008 - 05.2017
Bachelors in business administration specializing in Healthcare. -
Capella University
Associates in medical assisting -
Rasmussen College-Aurora
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